Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis

Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adole...

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Main Authors: Komal Abdul Rahim, Natasha J. Egglestone, Irakli G. Tsagareli, Wania Usmani, Salima Meherali, Zohra S. Lassi
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Health Psychology and Behavioral Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741
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author Komal Abdul Rahim
Natasha J. Egglestone
Irakli G. Tsagareli
Wania Usmani
Salima Meherali
Zohra S. Lassi
author_facet Komal Abdul Rahim
Natasha J. Egglestone
Irakli G. Tsagareli
Wania Usmani
Salima Meherali
Zohra S. Lassi
author_sort Komal Abdul Rahim
collection DOAJ
description Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)’s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case–control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi2 P 0.01; I2 = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P = 0.0003; I2 = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi2 P < 0.00001; I2 = 98%).Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.
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spelling doaj.art-fffc121dc0514ab6a661c04a918be9192024-12-05T15:52:34ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502024-12-0112110.1080/21642850.2024.2305741Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysisKomal Abdul Rahim0Natasha J. Egglestone1Irakli G. Tsagareli2Wania Usmani3Salima Meherali4Zohra S. Lassi5Internal Medicine, Aga Khan University Hospital, Karachi, PakistanAdelaide Medical School, The University of Adelaide, Adelaide, AustraliaAdelaide Medical School, The University of Adelaide, Adelaide, AustraliaPublic Health Information Development Unit, Torrens University Australia, Adelaide, AustraliaFaculty of Nursing, University of Alberta, Edmonton, CanadaAdelaide Medical School, Robinsons Research Institute University of Adelaide, Adelaide, AustraliaBackground: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)’s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case–control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi2 P 0.01; I2 = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P = 0.0003; I2 = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi2 P < 0.00001; I2 = 98%).Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741Adolescentdepressionmental healthteenage pregnancypost-partum
spellingShingle Komal Abdul Rahim
Natasha J. Egglestone
Irakli G. Tsagareli
Wania Usmani
Salima Meherali
Zohra S. Lassi
Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
Health Psychology and Behavioral Medicine
Adolescent
depression
mental health
teenage pregnancy
post-partum
title Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
title_full Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
title_fullStr Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
title_full_unstemmed Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
title_short Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
title_sort mental health outcomes beyond the post partum period among adolescent mothers a systematic review and meta analysis
topic Adolescent
depression
mental health
teenage pregnancy
post-partum
url https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741
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